MEDICARE: MR. JOHN P RODMAN SR. CPO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1744P3200X	Prosthetics Case Management	CPO1469	GA

General Provider Information

NPI Number	:	1952471070
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOHN P RODMAN SR. CPO

Provider Business Mailing Address
First Line	:	2925 LEDO RD STE 25
Second Line	:
City	:	ALBANY
State	:	GA
Zip	:	31707-1277
Country	:	US
Telephone Number	:	229-430-9778
Fax Number	:	229-789-0353

Provider Business Practice Location Address
First Line	:	2925 LEDO RD STE 25
Second Line	:
City	:	ALBANY
State	:	GA
Zip	:	31707-1277
Country	:	US
Telephone Number	:	229-430-9778
Fax Number	:	229-430-1347

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2006
Last Update Date	:	03/02/2026

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